Negotiated reimbursement rates for D7970 across 49 states, sourced from CMS Transparency in Coverage data. 586 rate records.
Excision of Hyperplastic Tissue — Per Arch is a procedure that involves the surgical removal of excessive or abnormal tissue in the oral cavity, typically in response to conditions such as gingival hyperplasia. Clinical indications for this procedure include discomfort, aesthetic concerns, or functional impairments caused by the hyperplastic tissue. Proper documentation is essential for billing, including a detailed clinical description of the tissue condition and any previous treatments attempted. The average reimbursement for this procedure is approximately $352, but it can vary widely depending on the payor and state. Some insurance plans may have specific coverage limitations or require pre-approval for surgical procedures.
Reimbursement rates for D7970 vary significantly by state, payor, and provider network. The national average negotiated rate is $352. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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